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Rachel A Loyst¹, Steven H Liu², Rustin Mahboubiardakani²

¹Stony Brook Medicine, Stony Brook, USA. Rachel.loyst@stonybrookmedicine.edu.

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie

|February 13, 2025

概括

经过关节镜旋转袖口修复 (aRCR) 的充血性心力衰竭 (CHF) 患者面临明显更高的并发症风险,包括败血症和心脏事件. 对这些患者来说,精心的手术前管理对于改善手术结果至关重要.

科学领域:

整形外科手术整形外科手术
心脏病学心脏病学
公共卫生公共卫生

背景情况:

关节镜旋转手套修复 (aRCR) 是一种常见的骨科手术.
充血性心力衰竭 (CHF) 是一种重要的并发症,可能会影响手术的结果.
了解患有CHF的患者与aRCR相关的风险对于患者管理至关重要.

研究的目的:

调查潜在的并发症,并确定关节镜旋转手套修复 (aRCR) 的风险因素,特别是在患有充血性心力衰竭 (CHF) 的患者中.

主要方法:

在2015年至2021年间对接受aRCR的患者进行了回顾性分析,使用美国外科医生学院国家外科质量改进数据库进行了分析.
分析了患者的人口统计,并发症和30天的术后并发症.
使用后勤回归模型来评估CHF和术后并发症之间的关联.

主要成果:

与没有CHF的患者相比,患有CHF的患者在aRCR后出现任何并发症 (OR 3.21),败血症 (OR 13.04),心脏事件 (OR 7.76),再录取 (OR 3.61) 和非家庭出院 (OR 5.43) 的可能性明显更高.
CHF被确定为这些不良结果的独立风险因素.

结论:

充血性心力衰竭 (CHF) 是一个独立的风险因素,在关节镜旋转手套修复 (aRCR) 后,术后并发症增加.
这些发现强调了对接受aRCR的CHF患者进行彻底的手术前评估和管理的必要性,以减轻风险和优化手术结果.

关键词:

关节镜旋转手套修复关节镜旋转手套修复伴随性疾病伴随性疾病心脏衰竭是因为心脏衰竭.术后并发症术后并发症

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